CMS Price Transparency Data

Blood test, vitamin B12

Facility: Adventist Health Tehachapi Valley

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $24
Cash Discount Price: $33
vs. Medicare Baseline: 1.59x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Adventist Health Tehachapi Valley is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.59x the Medicare baseline. Located in 1100 Magellan, Tehachapi, CA.

Cash / Self-Pay

$33

Average discount available for prompt cash payment at this facility.

Insurance Median

$24

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$15.08

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $15.08 (100%)

Cash / Self-Pay: $33 (219%)

Insurance Median: $24 (159%)

Cash: $33 (219% of Medicare)

Ins. Median: $24 (159% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $15.08 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Healthnet Mcare	$2 - $58	13%
Medicare (plans)	$2 - $58	13%
Tricare	$2 - $58	13%
UnitedHealthcare	$2 - $148	13%
Universal Ipa Mcr Adv Op/Profee Only-All Other Pla	$2 - $58	13%
Network Providers- All Plans	$3 - $74	20%
Kaiser Ip/Op Only- All Other Plans	$4 - $99	27%
Blue Shield Epn- All Other Plans	$5 - $128	33%
Centivo - All Plans	$5 - $130	33%
Western Grwrs/Pinnacle - All Plans	$5 - $127	33%
Ah Employee Health Plan - All Plans	$6 - $161	40%
Blue Cross Blue Shield	$6 - $175	40%
Blue Shield Non-Epn	$6 - $152	40%
Klhp-Kern Legacy Epo -All Other Plans	$6 - $152	40%
Cigna	$9 - $237	60%
Healthnet- All Other Plans	$9 - $233	60%
Coventry- All Plans	$11 - $273	73%
Bc Mcal	$12 - $18	80%
Healthnet Medi-Cal	$12 - $21	80%
Kaiser Medi-Cal Ip/Op Only	$12 - $17	80%
Khs-Kern Hlth Systm Mcal	$12 - $22	80%
Medi-Cal	$12 - $17	80%
Universal Ipa Mcal Op/Profee Only	$12 - $17	80%
Oscar Health Plan- All Plans	$24	159%
Aetna	$89	590%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $33.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82607.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Adventist Health Tehachapi Valley is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82607.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.